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1457350258
JONATHAN ROBERT BALTZELL
CHARLOTTE, NC
NPI
1457350258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 102359)
Enumeration Date
2005-07-14
Last Update Date
2014-04-01
Business Address
Mr. JONATHAN ROBERT BALTZELL PA-C
10210 COULOAK DR SUITE E
CHARLOTTE, NC 28216-7679
Phone number: 704-801-2000
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Mailing Address
Mr. JONATHAN ROBERT BALTZELL PA-C
PO BOX 602478
CHARLOTTE, NC 28260-2478
Phone number: 704-801-2000
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